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Home > Programs > Nursing Homes
  • Coverages Provided
  • Required Documentation:

    • Supplemental Application
    • 5 Years Loss History
    • Acord Applications
    • Most Recent Two “first” State Surveys with Plan of Corrections
    • Most Recent HCFA 671 – Facility Staffing
    • Most Recent HCFA 672 – Resident Census
    • Facility Quality Indicator Report for the Past 3 Month Period
    • Copy of Facility License